CUMI TALITHA JOLLY LCSW
NPI 1245630128
Social Worker - Clinical in Charlotte, NC

Active since August 28, 2014PECOS EnrolledAccepts Medicare Assignment
3545 WHITEHALL PARK DR STE 300, CHARLOTTE, NC 28273(980) 302-8850(704) 316-8118 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 20, 2023, Oct 27, 2020, Sep 16, 2020 and 2 more (5 updates tracked since 2017).

About Cumi Talitha Jolly Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CUMI TALITHA JOLLY LCSW (NPI 1245630128) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (C008689) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1245630128
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCUMI TALITHA JOLLYCredential: LCSW
Location Address3545 WHITEHALL PARK DR STE 300Charlotte, NC 28273-4179
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Fax(704) 316-8118
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 28, 2014
Last NPPES UpdateNovember 28, 20235 updates tracked since enumeration
NPPES CertifiedNovember 28, 2023
NPI 1245630128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · C008689
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3545 WHITEHALL PARK DR STE 300, Charlotte, NC 28273

Other Names 1

Former Name (1)Cumi Jolly Bevel Lcsw

Secondary Practice Locations 2

Location 1175 Kimel Park Dr, Suite 100Winston Salem, NC 27103-6951 · Phone (800) 718-3550 · Fax (336) 277-6981
Location 21400 Willow LnNorth Wilkesboro, NC 28659-3551 · Phone (336) 667-5151 · Fax (336) 667-5048

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Cumi Talitha Jolly Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527116086
PECOS Enrollment IDI20151207002081
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28273 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
3545 WHITEHALL PARK DR STE 300
CHARLOTTE, NC 28273
Social Worker (Clinical)
3545 WHITEHALL PARK DR STE 300
CHARLOTTE, NC 28273
Physician Assistant
3545 WHITEHALL PARK DR STE 300
CHARLOTTE, NC 28273
Physician Assistant
3545 WHITEHALL PARK DR STE 300
CHARLOTTE, NC 28273
Counselor (Mental Health)
3545 WHITEHALL PARK DR STE 300
CHARLOTTE, NC 28273
Social Worker (Clinical)
3545 WHITEHALL PARK DR STE 300
CHARLOTTE, NC 28273
Counselor
3545 WHITEHALL PARK DR STE 300
CHARLOTTE, NC 28273
Nurse Practitioner (Psychiatric/Mental Health)
3545 WHITEHALL PARK DR STE 300
CHARLOTTE, NC 28273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cumi Jolly's NPI number?

The NPI number for Cumi Jolly is 1245630128. It was assigned to this individual provider in the NPPES registry on August 28, 2014. The provider is also known as Cumi Jolly Bevel Lcsw.

Where is Cumi Jolly located?

Cumi Jolly practices at 3545 Whitehall Park Dr Ste 300, Charlotte, NC 28273. The listed phone number is (980) 302-8850.

What is Cumi Jolly's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Cumi Jolly enrolled in Medicare?

Yes. Cumi Jolly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Cumi Jolly accept?

Health plans from Blue Cross and Blue Shield of NC list Cumi Jolly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cumi Jolly was last updated on November 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.